See Also
1. Peripheral Nerve Injury
Causes
1. Repetitive overhead activity
2. Glenoid labrum tear with secondary cyst formation
Symptoms
1. Infraspinatus weakness
  1. Weak external rotation at the Shoulder
2. Supraspinatus weakness (variably involved)
  1. Weak arm elevation overhead
Differential Diagnosis
1. Rotator Cuff Injury
Diagnostics
1. MRI Shoulder
  1. Evaluate for Rotator Cuff Tear, labral tear
  2. Obtain early in course (i.e. first month)
Management
1. Referral to orthopedic surgery if Rotator Cuff Injury
2. Physical Therapy
  1. Shoulder Range of Motion Exercises
  2. Strengthen compensatory muscles
3. Avoid reinjury
  1. Avoid heavy lifting
  2. Avoid repetitive overhead activity
Course
1. Anticipate 6-12 month course with therapy
References
1. Neal (2010) Am Fam Physician 81(2): 147-55
2. Safran (2004) Am Sports Med 32(4): 1063-76

Family Practice Notebook

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Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 12/23/2011 and last published on 5/17/2012.

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Family Practice Notebook

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